Short hospitalization period with elastic stable intramedullary nails in the treatment of femoral shaft fractures in school children

Purpose To evaluate the safety and period of hospitalization of the treatment of femoral shaft fractures with titanium elastic nails (TEN) in the age range 5 to 14 years. The hypothesis was that TEN might be a low-cost treatment, with good clinical results and short length of hospitalization. Method...

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Bibliographic Details
Published in:Journal of children's orthopaedics 2010-02, Vol.4 (1), p.53-60
Main Authors: Nascimento, Fabiano Prata, Santili, Cláudio, Akkari, Miguel, Waisberg, Gilberto, dos Reis Braga, Susana, de Barros Fucs, Patrícia Maria Moraes
Format: Article
Language:English
Subjects:
Age
Hospitalization
Medicine
Medicine & Public Health
Open fractures
Original Clinical
Original Clinical Article
Orthopedics
Patients
Pediatrics
Surgery
Titanium
Traction (Orthopedics)
Traumatic Surgery
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Summary:Purpose To evaluate the safety and period of hospitalization of the treatment of femoral shaft fractures with titanium elastic nails (TEN) in the age range 5 to 14 years. The hypothesis was that TEN might be a low-cost treatment, with good clinical results and short length of hospitalization. Methods Thirty children with femur fractures were surgically treated with TEN. Results The patients spent an average of 9.4 days in hospital. The average period for the healing process was 7.7 weeks. Partial weight bearing was permitted 3.3 weeks after surgery. The incidence of overgrowth was 60%, with an average of 0.40 cm. Conclusions The surgical method brings few complications and results in good limb alignment, with a short period of hospitalization and early return to daily activities and school.
ISSN:1863-2521
1863-2548
DOI:10.1007/s11832-009-0227-0